Resource Library

Determine which requirements can be completed in-house and the possible cost benefits of each.

Door Inspection Tool 2019.

The ASHE CMS State Operations Manual Appendix A Crosswalk provides A-Tag information along with the related codes and standards applicable to the requirements for each A-Tag. To ensure that the tool is relevant to health care facility professionals, it focuses specifically on A-Tag requirements that affect the physical environment.

Health facility managers should start with an accurate inventory of all fire alarm and suppression devices to assure that the requirements are met. ASHE has created a sample template to track the inventory and compare it against testing completed throughout the year.

 

This document provides a comparison of the regulations applicable to most hospitals. It is important to verify the editions of the codes and standards that are applicable in your jurisdiction. Some jurisdictions may have adopted a different edition of the building code for construction. Many states have adopted other editions of the NFPA’s Life Safety Code®. For additional information, contact your state agency responsible for licensing hospitals.

Hospitals and health systems are working to address the environmental risks associated with the care of patients at risk for suicide and self-harm. The Centers for Medicare & Medicaid Services (CMS) is currently creating comprehensive interpretive guidance, which will incorporate Joint Commission patient safety recommendations. To help hospitals and other health care facilities understand and implement these recommendations, ASHE is developing tools and resources for members.

This Useful Service Life (USL) Assessment Tool and Facilities Condition Index (FCI) Calculator tool will allow you to calculate your infrastructure health.

Developed by a group of experts, this Excel file can be used by health care organizations to assess their vulnerabilities and help manage their emergency preparedness programs. ASHE members are permitted to adapt this Excel tool for use at their facilities. Below is the Excel file and a PDF showing sample results. (To use the Excel file, delete the sample data from the Data Entry sheet and enable the macros to create the rest of the information based on your data.)

This downloadable Word document is a sample pressure relationship policy you can customize to fit the needs of your facility.DOWNLOAD NOW

Use this HVA tool to assist your multidisciplinary group in assessing and prioritizing exercises for potential hazards/risk.

This checklist can help health care facilities inspect fire doors to ensure compliance with Joint Commission standard LS.02.01.10.

The emergency power supply system (EPSS) is a critical hospital system, and its failure to function in a power outage can have tragic results. Not all authorities having jurisdiction (AHJs) look at documentation of weekly inspections. Nonetheless, a weekly visual inspection is highly recommended.This checklist is based on charts in the Annex of the 2013 edition of NFPA 110: Standard for Emergency and Standby Power Systems.

A sprinkler system can be complex with many different zones and valves. Some of those valves may be easily to locate. Others may be in more obscure locations. If there is a inadvertent sprinkler activation, or when maintenance or system modifications are being performed, it is imperative that sprinkler system valves be properly identified and can be quickly located.There are many forms of documentation that can help manage this process including accurate drawings, valve charts, valve identification tags or labels or other documentation for the sprinkler system.

This document provides a checklist for hospitals to document the inspection, testing, and maintenance of fire safety equipment and fire safety building systems.DOWNLOAD TOOL  

Tool for Assessing Compliance with Joint Commission Life Safety Specialist Areas of EmphasisThis checklist can be used to help evaluate a facility's compliance with certain elements of the 2010 Joint Commission Environment of Care and Life Safety standards that might be reviewed by a Life Safety Specialist Surveyor.